Conemaugh Valley Conservancy Member/Donor Form (revised)

Please complete online or print and return to:CVC, P.O. Box 218, Johnstown PA 15907-0218If paying by mail, make checks payable to Conemaugh Valley Conservancy (IEN #25-1756447)
First Name*
Last Name*
Organization
Street Address*
Street Address
City*
State*
Zip Code*
Country
Phone
E-mail*
I want to receive email announcements and/or newsletters from CVC:

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Are you a:

Renewing memberNew memberDonation Only
Please include your email to receive our e-newsletter and annual report. If paying by mail, please make checks payable to Conemaugh Valley Conservancy (IEN#25-1756447) If you are a new member, please tell us how you heard about the CVC.
CVC Facebook PageCVC Board MemberWest Penn Trail Facebook page or eventStream Team programRiver SojournOther
Please indicate your membership level below.
$25 Individual$50 Supporter$100 Sponsor$250 Patron$500 Champion
In addition to your membership, you may also designate a donation directly to your preferred program area.
Donation:
Preferred program area for your donation.

CVC operating budgetStream TeamWest Penn TrailBird TrailShare the Love (divide my donation)
* For information about West Penn Trail or Stream Team sponsorships contact Laura Hawkins at (724)858-0463 or lhawkins32@zoominternet.net.
Total for Membership and/or Donation:*

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USDMembership and/or Donation
This form may be used for membership and/or donations. If you are making a donation, please comment on how you would like it to be used.
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